| Doctor Name: | MS. JIMMIE SUE SIPTAK |
| NPI Number: | 1003014812 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, LPC |
| License Number: | 6096 |
| Business Practice Address: | 107 E Sealy St Alvin, TX - 775112440 |
| Business Phone Number: | 2815850000 |
| Business Fax Number: | 2815850080 |
| Mailing Address: | 107 E Sealy St, ALVIN |
| State: | TX |
| Postal Code: | 775112440 |
| Phone Number: | 2815850000 |
| Fax Number: | 2815850080 |
| NPI Enumeration Date: | 07/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6096 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |